<!DOCTYPE html>
<html>

	<head>
		<meta charset="UTF-8">
		<meta name="viewport" content="width=640,target-densitydpi=320, user-scalable=no/ ">
		<link rel="stylesheet" type="text/css" href="css/reset.css" />
		<link rel="stylesheet" type="text/css" href="css/index.css" />
		<script src="js/jquery.js" type="text/javascript" charset="utf-8"></script>
		<title>申请店铺开通</title>
		
	</head>

	<body>
		<div class="header bgd_color">
			<div class="left h_lf">

			</div>
			<div class="left h_center">
				开通店铺
			</div>
			<div class="left h_rg">
				
			</div>
		</div>
		<div class="container bgd_color_gray">
			<div class="pad_lr26 box_size_border width100 bgd_color_white">
				<div class="border_bot1 line_height100 f_size24">
					<label class="display_inline_block width116" for="">联系人</label>
					<input class="line_height98 box_size_border border_none" type="text" placeholder="请输入真实姓名"/>
				</div>
			</div>
			<div class="pad_lr26 box_size_border width100 bgd_color_white">
				<div class="border_bot1 line_height100 f_size24">
					<label class="display_inline_block width116" for="">手机号</label>
					<input class="line_height98 box_size_border border_none" type="text" placeholder="请输入真实姓名"/>
				</div>
			</div>
			<div class="pad_lr26 box_size_border width100 bgd_color_white">
				<div class="border_bot1 line_height100 f_size24">
					<label class="display_inline_block width116" for="">店铺名称</label>
					<input class="line_height98 box_size_border border_none" type="text" placeholder="请输入真实姓名"/>
				</div>
			</div>
			<div class="pad_lr26 box_size_border width100 bgd_color_white">
				<div class="border_bot1 line_height100 f_size24">
					<label class="display_inline_block width80" for="">选择省</label>
					<select name="">
						<option value="">天津</option>
					</select>
					<label class="display_inline_block width80" for="">选择省</label>
					<select name="">
						<option value="">天津</option>
					</select>
					<label class="display_inline_block width80" for="">选择省</label>
					<select name="">
						<option value="">南开</option>
					</select>
				</div>
			</div>
			<div class="pad_lr26 box_size_border width100 bgd_color_white">
				<div class="border_bot1 line_height100 f_size24">
					<label class="display_inline_block width116" for="">具体地址</label>
					<input class="line_height98 box_size_border border_none" type="text" placeholder="请输入真实姓名"/>
				</div>
			</div>
			<div class="margin_t50 margin_lr20 box_size_border">
				<button class="f_size32 f_color_white bgd_color_main width_100 line_height80 border_none border_radius20">申请</button>
			</div>
			
		</div>

	</body>

</html>